| NPI | 1619524808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-59842) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-95416) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2022-07-07 |